Name:_________________________________________________________
Mailing Address:________________________________________________
City/ZipCode:___________________________________________
Phone ( Home ) :_______________________
Phone ( Cell ) ;_______________________
e-mail:____________________________________
Community Supported Agriculture
C.S.A. Subscription
Large Family Produce Box ( $28.50 a week ) _______
Small Family Produce Box ( $22.00 a week ) ____
Payable by Check or Money Order
Monthly:______ Quarterly______ Yearly_______
Please remit payment to:
Smith Farms 3108 So. Blythe Avenue
Fresno Calif. 93706-9035
Any questions, feel free to call Sandie Smith ( 559-230-7205 )
email: mike@smithsfamilyorganicfarm.com
C.S.A. Subscription
